Sin, Jerry
Sin, Jerry is an individual health care provider with primary practice located at 1013 E Luray Street , Long Beach CA 90807-1019. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Sin, Jerry can be contacted via phone (562) 728-1791.Contact Information
Primary practice address
1013 E Luray Street
Long Beach CA 90807-1019
Phone: (562) 728-1791
Fax: (562) 728-1791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1770643702 |
|---|---|
| LBN Legal business name | Sin, Jerry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770643702 | NPPES |
| California | MEDICAID | MTN00845F |
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